You hear two physicians discussing Mr. Nguyen's caseous necrosis. You should expect
that your nursing care of Mr. Nguyen will take into account that he has what
condition?
A. Pancreatitis
B. Tuberculosis
C. Bacterial brain abscess
D. A heart attack (myocardial infarction)
Give this one a try later!
B. Tuberculosis
Mrs. Jeffer's ankles became more swollen than usual and she could breathe better
when sitting upright. These are clues to which of the following fluid imbalances?
A. Hypernatremia
B. Hyponatremia
,C. Extracellular fluid volume excess
D. Extracellular fluid volume deficit
Give this one a try later!
C. Extracellular fluid volume excess
"My 2-month-old baby is throwing up and has frequent diarrhea," says Mr. Worry over
the telephone. "I keep giving him Pedialyte [oral electrolyte replacement solution]
like you said, but I am worried that he will get dehydrated and I shall not know it."
Choose the best response.
A. Clinical dehydration is the combination of extracellular fluid volume deficit and
hypernatremia, so those are the diagnostic criteria.
B. If he does not wet his diaper all afternoon and his neck veins look flat when he is
lying down, then he is probably dehydrated.
C. If he sleeps more than usual and acts tired when he is awake, then he is probably
dehydrated.
D. If the soft spot on the top of his head feels sunken in and his mouth is dry between
his cheek and his gums, then he is probably dehydrated.
Give this one a try later!
D. If the soft spot on the top of his head feels sunken in and his mouth is
dry between his cheek and his gums, then he is probably dehydrated.
Mrs. Frisioni has drainage from an intestinal fistula that is being managed at home
while it heals. You are the home health nurse who changes the dressing. Today she is
already lying down when you arrive, saying that she feels "weak and dizzy" when she
stands. Her supine blood pressure is 92/70, heart rate 78. When she sits up, she
slumps sideways and is temporarily unresponsive while you are deflating the blood
pressure cuff. You could read only the systolic pressure, which was 77, before she fell
sideways and you could tell that her heart rate was very fast while you were deflating
, the cuff. She has regained consciousness now that she is lying down. What should you
do before you telephone her physician or nurse practitioner? Why?
A. Sit her up again, with proper support, so you can have an accurate upright blood
pressure and heart rate to report.
B. Give her a drink of water or juice, talk with her to calm her down, and ask if she slept
well last night.
C. Give her water or juice and some salty crackers and ask if she has had any diarrhea
and vomiting.
D. Assess small vein filling time, look for ankle edema, and ask if she had any fluid to
drink yet today.
Give this one a try later!
C. Give her water or juice and some salty crackers and ask if she has had
any diarrhea and vomiting.
You are preparing a poster on cell aging for an educational poster day at your home
health agency. Which of the following terms should you use when illustrating the
concept that cells have a limited number of divisions?
A. Telomere
B. Caspase
C. Autolysis
D. Fibrosis
Give this one a try later!
A. Telomere
Ms. H, who has diabetes, had an infected foot, but it is now healed after a course of
intravenous antibiotics. "The doctor said my white count is no longer elevated. What
that your nursing care of Mr. Nguyen will take into account that he has what
condition?
A. Pancreatitis
B. Tuberculosis
C. Bacterial brain abscess
D. A heart attack (myocardial infarction)
Give this one a try later!
B. Tuberculosis
Mrs. Jeffer's ankles became more swollen than usual and she could breathe better
when sitting upright. These are clues to which of the following fluid imbalances?
A. Hypernatremia
B. Hyponatremia
,C. Extracellular fluid volume excess
D. Extracellular fluid volume deficit
Give this one a try later!
C. Extracellular fluid volume excess
"My 2-month-old baby is throwing up and has frequent diarrhea," says Mr. Worry over
the telephone. "I keep giving him Pedialyte [oral electrolyte replacement solution]
like you said, but I am worried that he will get dehydrated and I shall not know it."
Choose the best response.
A. Clinical dehydration is the combination of extracellular fluid volume deficit and
hypernatremia, so those are the diagnostic criteria.
B. If he does not wet his diaper all afternoon and his neck veins look flat when he is
lying down, then he is probably dehydrated.
C. If he sleeps more than usual and acts tired when he is awake, then he is probably
dehydrated.
D. If the soft spot on the top of his head feels sunken in and his mouth is dry between
his cheek and his gums, then he is probably dehydrated.
Give this one a try later!
D. If the soft spot on the top of his head feels sunken in and his mouth is
dry between his cheek and his gums, then he is probably dehydrated.
Mrs. Frisioni has drainage from an intestinal fistula that is being managed at home
while it heals. You are the home health nurse who changes the dressing. Today she is
already lying down when you arrive, saying that she feels "weak and dizzy" when she
stands. Her supine blood pressure is 92/70, heart rate 78. When she sits up, she
slumps sideways and is temporarily unresponsive while you are deflating the blood
pressure cuff. You could read only the systolic pressure, which was 77, before she fell
sideways and you could tell that her heart rate was very fast while you were deflating
, the cuff. She has regained consciousness now that she is lying down. What should you
do before you telephone her physician or nurse practitioner? Why?
A. Sit her up again, with proper support, so you can have an accurate upright blood
pressure and heart rate to report.
B. Give her a drink of water or juice, talk with her to calm her down, and ask if she slept
well last night.
C. Give her water or juice and some salty crackers and ask if she has had any diarrhea
and vomiting.
D. Assess small vein filling time, look for ankle edema, and ask if she had any fluid to
drink yet today.
Give this one a try later!
C. Give her water or juice and some salty crackers and ask if she has had
any diarrhea and vomiting.
You are preparing a poster on cell aging for an educational poster day at your home
health agency. Which of the following terms should you use when illustrating the
concept that cells have a limited number of divisions?
A. Telomere
B. Caspase
C. Autolysis
D. Fibrosis
Give this one a try later!
A. Telomere
Ms. H, who has diabetes, had an infected foot, but it is now healed after a course of
intravenous antibiotics. "The doctor said my white count is no longer elevated. What
